{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:58:37Z","timestamp":1760122717512},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2017,12,5]],"date-time":"2017-12-05T00:00:00Z","timestamp":1512432000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CJEM"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1481803517004213_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>Atrial fibrillation (AF) is the most common arrhythmia presentation to the emergency department (ED) and frequently results in admission to the hospital. Although rarely life-threatening and not usually an emergent condition, AF places a large burden on our health-care system. The objective of this study was to describe the practices of ED physicians in the management of AF in a large urban Canadian city.<\/jats:p><\/jats:sec><jats:sec id=\"S1481803517004213_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>From January 1, 2010 to December 31, 2010, patients with a primary diagnosis of AF were identified across 10 EDs in Toronto, Canada (N=2,609). Fifty patients were selected at random from each hospital for a detailed chart review (n=500).<\/jats:p><\/jats:sec><jats:sec id=\"S1481803517004213_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Two hundred thirty-two patients (46%) received rate control, and 129 (26%) received rhythm control with the remainder (28%) receiving neither therapy. Sixty-seven percent of patients were discharged home. Most patients (79%) were symptomatic on arrival; however, only a minority of these (31%) received rhythm control. Factors that were associated with rhythm control included younger age, duration of palpitations \u2264 48 hours, a lower CHADS2 score, and the absence of left ventricular dysfunction.<\/jats:p><\/jats:sec><jats:sec id=\"S1481803517004213_abs4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>Our data suggest a wide range of practice amongst ED physicians treating patients presenting to the ED with a primary diagnosis of AF. A randomized trial is needed to better understand the optimal management strategy in this patient population and setting.<\/jats:p><\/jats:sec>","DOI":"10.1017\/cem.2017.421","type":"journal-article","created":{"date-parts":[[2017,12,5]],"date-time":"2017-12-05T09:43:19Z","timestamp":1512466999000},"page":"834-840","source":"Crossref","is-referenced-by-count":4,"title":["Rhythm and rate control of atrial fibrillation in the emergency department \u2013 A large community-based observational study"],"prefix":"10.1007","volume":"20","author":[{"given":"Cameron J.","family":"Gilbert","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Angaran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zana","family":"Mariano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theresa","family":"Aves","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Dorian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2017,12,5]]},"reference":[{"key":"S1481803517004213_ref6","doi-asserted-by":"publisher","DOI":"10.1097\/01.ede.0000091649.26364.c0"},{"key":"S1481803517004213_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2013.02.026"},{"key":"S1481803517004213_ref17","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12016"},{"key":"S1481803517004213_ref10","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0708789"},{"key":"S1481803517004213_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.04.089"},{"key":"S1481803517004213_ref9","doi-asserted-by":"crossref","first-page":"1825","DOI":"10.1056\/NEJMoa021328","article-title":"A comparison of rate control and rhythm control in patients with atrial fibrillation","volume":"347","author":"Wyse","year":"2002","journal-title":"N Engl J Med"},{"key":"S1481803517004213_ref7","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000083722.42033.0A"},{"key":"S1481803517004213_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2006.07.018"},{"key":"S1481803517004213_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2014.08.001"},{"key":"S1481803517004213_ref16","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12078"},{"key":"S1481803517004213_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2016.10.013"},{"key":"S1481803517004213_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(02)01236-6"},{"key":"S1481803517004213_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2014.11.027"},{"key":"S1481803517004213_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2010.07.005"},{"key":"S1481803517004213_ref20","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.1999.1747"},{"key":"S1481803517004213_ref12","doi-asserted-by":"publisher","DOI":"10.1017\/S1481803500012227"},{"key":"S1481803517004213_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.03.022"},{"key":"S1481803517004213_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.01.064"},{"key":"S1481803517004213_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2012.05.007"},{"key":"S1481803517004213_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(99)70300-8"}],"container-title":["CJEM"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1481803517004213","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,31]],"date-time":"2020-12-31T23:49:40Z","timestamp":1609458580000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1481803517004213\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,5]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["S1481803517004213"],"URL":"https:\/\/doi.org\/10.1017\/cem.2017.421","relation":{},"ISSN":["1481-8035","1481-8043"],"issn-type":[{"value":"1481-8035","type":"print"},{"value":"1481-8043","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,5]]}}}